The Man Flashcards

1
Q

Where do the the Seminifous tubules come together? What do they join to here?
What happens at this location?

A

At the Rete Testis, join to the Epididymis, where Sperm Maturation occurs.

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2
Q

What is the Epidydimis continuous with?

A

Vas Deferens

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3
Q

The Seminiferous tubules are in compartments, separated by connective tissue.

What encloses the testis and the Seminiferous tubules

A

The Tunica Albuginea

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5
Q

What surrounds the Tunica Albuginea?

A

Tunica Vaginalis, a serous membrane (has a parietal and visceral layer)

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6
Q

What is a Hydrocoele?

A

Fluid accumulation in the pleural cavity of the Tunica Vaginalis

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7
Q

Describe the arterial supply of the testes

A

Via testicular artery which comes from the abdominal aorta

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8
Q

Describe the venous drainge of the testes

A
  • Via the Pampiniform Plexus (Surrounds artery)
  • Divides into the Right and Left testicular veins
  • Right TV drains into IVC
  • Left TV drains into Left Renal Vein then into IVC
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9
Q

What does the Pampiniform Plexus of Veins do to blood coming to Testes?

A

Cools arriving blood (To temp slightly below body temp)

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10
Q

What can an obstructed left renal vein lead to?

A

a Varicocoele

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11
Q

Differ between the lymphatic drainage of the Testes and Scrotum

A

Testes: Lymph drains to Para-aortic lymph nodes (abdominal aorta)

Scrotum: Lymph drains to Inguinal Lymph nodes (more superficial)

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12
Q

The testis can twist on itself (testicular torsion/ torsion of spermatic cord)

Why is this an emergency?

A

Blood supply is restricted-> Ischaemia-> Loss of testis

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13
Q

Name and describe the deformity that increases risk of testicular torsion

A

Bell-Clapper deformity, Body of Epidydimis becomes more transverse than vertical

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14
Q

What COULD happen if one testis is lost? (Remember, testes have immune privilege)

A

Normally Immune System cant detect testes, but when 1 dies it releases large amounts of antigen which is detected.

The immune system then attacks the other, functioning testis

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15
Q

Describe the how the testes evaginate the abdominal wall

A

The testes are pulled through the abdominal wall muscles by the Gubernaculum, forming the wall of the spermatic cord surrounding the testis.

Fascia and neurovascular structures are included as well

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16
Q

Outline the contents of the Spermatic cord

A
  • 3 fascial layers
  • 3 arteries
  • 3 veins
  • 3 nerves
  • Vas deferens
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17
Q

Name the 3 fascial layers of the spermatic cord (Deep to Superficial)

What abdominal muscles/ fascia are they derived from?

A
  • External Spermatic Fascia, from External Oblique
  • Cremasteric Fascia, from Internal Oblique
  • Internal Spermatic Fascia, from Transversalis Fascia
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18
Q

Compare the composition of the 3 fascial layers of the spermatic cord

A

External + Internal Spermatic Fascia- Fibrous

Cremasteric fascia- Contains muscle fibres, making up the Cremaster muscle

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19
Q

What does the Cremaster muscle do?

A

Regulates the height that testes are sitting at in the scrotum

(E.g on hot day cremaster muscle is relaxed, on cold day cremaster muscle is contracted)

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20
Q

Name the 3 arteries of the Spermatic Cord

A
  • Testicular artery
  • Cremasteric artery (feeds Cremaster muscle)
  • Artery to the Vas Deferens
21
Q

Name the 3 veins of the Spermatic cord

A
  • Testicular vein
  • Cremaster vein
  • Vein of Vas Deferens
22
Q

Name the 3 nerves of the spermatic cord

A
  • Cremasteric nerve/ Genital branch of Genitofemoral Nerve
  • Sympathetics to Vas Deferens (initiate ejaculation)
  • Ilioinguinal nerve (not in Spermatic cord)
23
Q

Name the 5 Neurovascular structures within the Internal Spermatic Fascia

A
  • Testicular artery
  • Testicular Vein
  • Nerve to Vas
  • Artery to Vas
  • Vein to Vas
24
Q

Name the 3 Neurovascular structures within the Cremasteric Fascia

A
  • Cremasteric Artery
  • Cremasteric Vein
  • Cremasteric Nerve/ Genital branch of Genitofemoral
25
Q

There is no testicular nerve. Name the nerve outside the External Spermatic Fascia

A

Ilioinguinal

26
Q

Which fascial layer is the Vas Deferens within?

What 2 other non-neurovascular structures are within this fascial layer

A

Internal Spermatic Fascia

  • Lymphatics
  • Obliterated Processus Vaginalis (solid)
27
Q

Where does the Vas Deferens join the Ejaculatory Duct?

What is its position relative to the Ureter?

A

At the prostate

Ureter passes underneath Vas Deferens (Remember, water under the bridge)

(In female ureter passes under uterine artery)

28
Q

The Seminal Vesicles join the Vas Deferens to form what?

How does this enter urethra?

A

The ejaculatory ducts pass through Prostate to enter urethra (from the back)

29
Q

The prostate envelopes the urethra. What happens when prostate enlarges?

(with age or Benign Prostate Hyperplasia)

A

Urethra gets compressed, so more frequent urination

30
Q

What zone of prostate enlarges with age and compresses urethra?

A

Transitional zone

31
Q

Which zone of prostate tends to enlarge with Cancers?

Which structures enter the prostate here?

A

Peripheral zone (Posterior to TZ and urethra), where Ejaculatory Duct enters

32
Q

What volume of ejaculate comes from;

  • Seminal vesicles
  • Prostate
  • Testes
  • Bulbourehtral glands (Cowper’s glands)
A

SV: 65%

P: 25%

T: 10%

BU: 1%

33
Q

65% of ejaculate comes from Seminal Vesicles.

Describe the secretion and its function

A

Composition:
- Fuctose based alkaline fluid

Function:

  • Nutrition for sperm
  • Neutralises acidity of vagina
34
Q

25% of ejaculate comes from the Prostate.

Describe the secretion

A
  • Milky secretion
  • Contains proteolytic enzymes
  • Mildly acidic
35
Q

1% of ejaculate comes from the Bulbourethral glands

This secretion is the Pre-ejaculate
State its functions

A
  • Reduce friction

- Reduce the acidity of the Penile Urethra (In preparation for sperm)

36
Q

Name 3 Accessory Glands

A
  • Seminal Vesicles
  • Prostate
  • Bulbourethral glands
37
Q

Briefly outline how an erection comes about

A

Vasodilation of penile arterioles initiated by Parasympathetic stimulation (and sympathetic inhibition)

38
Q

Briefly outline how an erection is terminated

A

Vasoconstriction initiated by Sympathetic stimulation

39
Q

Erection initiation and Ejaculation are 2 separate processes. Are they sympathetic or parasympathetic?

A

“Point and Shoot”

Point- Erection is Parasympathetic
Shoot- Ejaculation is Sympathetic

41
Q

What is the main Erectile tissue of penis?

What is it attached to and why?

A

Corpus Cavernosa, attached to bone to help anchor penis

42
Q

What is the Corpus Spongiosum?

When is it patent?

A

The expansive tissue through which the urethra travels.

It stays patent for sperm passage during ejaculation

43
Q

What is the white membrane surrounding the erectile tissue?

What does it do?

A

The Tunica Albuginea (not to be confused with that of the testes)

It provides shape of penis during erection (holding erectile tissue in right place)

44
Q

Describe the orientation of collagen fibres in the Tunica Albuginea of the penis

A

Arranged at right angles to each other;

  • One circumferential/ transverse
  • One parallel to penile long axis
45
Q

What is the blood supply of the penis

A

Internal Pudendal Artery (branch of internal iliac artery)

This artery branches into Dorsal Artery

46
Q

Describe the condition “Fractured penis” (presents with excruciating pain and swelling)

It is a surgical emergency

A
  • Rupture of Tunica Albuginea (due to excessive bending)

- Causes blood leak from Corpus Cavernosa-> Haematoma

48
Q

Spermatogenesis occurs in the Seminiferous Tubules of the testes.

What cells form the Seminiferous Tubules? What do they do?

A

Sertoli cells (Epithelium of tubules)- Spermatogenesis

Leydig cells (In tissue between tubules) - Produce testosterone

49
Q

Name the 2 different issue types of the Penis

A
  • Corpus Spongiosum

- Corpsu Cavernosum (paired tissue, are 2 of them)